TIMOTHY J BROACH MD
NPI 1508822792
Internal Medicine in Indianapolis, IN

Q: What is Timothy Broach's NPI number?

The NPI number for Timothy Broach is 1508822792. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Timothy Broach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Broach was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2006PECOS Enrolled

550 UNIVERSITY BLVD # UH3005, INDIANAPOLIS, IN 46202(317) 962-8851(317) 962-5957 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Oct 12, 2022, Feb 1, 2021 (3 updates tracked since 2021).

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About Timothy J Broach Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY J BROACH MD (NPI 1508822792) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01061214A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508822792

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTIMOTHY J BROACHCredential: MD

Location Address550 UNIVERSITY BLVD # UH3005Indianapolis, IN 46202-5149

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 962-8851

Fax(317) 962-5957

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1508822792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01061214A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 01061214A (IN)

550 UNIVERSITY BLVD # UH3005, Indianapolis, IN 46202

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Other Identifiers 4

Other000001000789IN · Anthem Ptan

Other1102213746IN · Anthem Ptan

Medicaid200534140IN

Other000000668309IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy J Broach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACIA FRAZEE RN

Nurse Practitioner (Family)